Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $3,128.00 / $8,892.69	Facility		$96.67	$3,128.00	$8,892.69
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $763.25 / $1,603.27 / $1,963.50	Facility	50	$763.25	$1,603.27	$1,963.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.89 / $85.73 / $158.16	Professional		$48.89	$85.73	$158.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.36 / $70.61 / $269.37	Facility		$48.36	$70.61	$269.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $93.16 / $148.25	Professional		$56.86	$93.16	$148.25
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $104.03 / $763.00 / $1,324.89	Facility		$104.03	$763.00	$1,324.89
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $57.08 / $74.88 / $95.03	Professional		$57.08	$74.88	$95.03
Christus Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $58.62 / $60.03	Facility		$58.62	$58.62	$60.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.26 / $109.26 / $109.26	Facility		$109.26	$109.26	$109.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.08 / $111.82 / $196.04	Professional		$66.08	$111.82	$196.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $307.18	Facility		$55.00	$55.00	$307.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,094.00 / $1,094.00	Professional		$912.00	$1,094.00	$1,094.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.77 / $102.72 / $178.99	Facility		$61.77	$102.72	$178.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $126.28 / $202.63	Professional		$78.36	$126.28	$202.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,081.15 / $5,669.28 / $13,660.04	Facility		$4,081.15	$5,669.28	$13,660.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $124.00 / $241.99	Professional		$65.26	$124.00	$241.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.76 / $101.50 / $172.40	Facility		$62.76	$101.50	$172.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $117.23 / $205.50	Professional		$68.09	$117.23	$205.50
United Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,529.00 / $3,400.00	Facility		$374.00	$1,529.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.11 / $103.78 / $164.14	Professional		$70.11	$103.78	$164.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.08 / $108.71 / $152.52	Professional		$96.08	$108.71	$152.52